Department of Respiratory Medicine Medical School Democritus University of Thrace, Alexandroupolis, Greece.
Department of Pneumonology-Thoracic Oncology, North Hospital, University Hospital of Saint-Etienne, Saint-Etienne, France.
Respiration. 2021;100(6):523-529. doi: 10.1159/000514317. Epub 2021 Apr 13.
Medical thoracoscopy (MT) is an important procedure in the management of patients with pleural diseases.
We designed a survey to explore whether the participants of our courses implement MT at their hospital after attending the course as no real-life data exist.
We distributed by e-mail a questionnaire to the participants of the courses. The questionnaire included general information about the participants, the precourse experience on MT, the postcourse implementation of the technique, and the reasons for failure.
Responses were obtained from 104 of 324 (32.3%) identified emails. Responders were males (76%), seniors (59.7%), respiratory physicians (91.3%), working in a public/university hospital (78.8%), and mostly beginners (65.3%) from 41 countries. Following the course, 58.6% of responders either created or modified a MT program in their workplace. The reasons for not performing MT before the course were as follows: patients' referral to a thoracic surgeon, not enough training, lack of funding, department understaffed, and refusal by the hospital/department. Overall, these reasons were significantly decreased (p = 0.002) after the course.
Real-life data of our survey suggest that more than half of the responders have implemented the technique or modified their practice according to the skills they got from the course.
胸腔镜检查（MT）是胸膜疾病患者管理的重要程序。
我们设计了一项调查，以探讨参加课程的学员在参加课程后是否在其医院实施 MT，因为没有真实数据。
我们通过电子邮件向课程参与者分发了一份问卷。问卷包括参与者的一般信息、MT 的课前经验、课后技术实施情况以及失败原因。
从 324 个识别电子邮件中收到了 104 个回复。应答者为男性（76%）、高级医生（59.7%）、呼吸科医生（91.3%）、在公立医院/大学医院工作（78.8%），并且大多数来自 41 个国家的初学者（65.3%）。在课程结束后，58.6%的参与者在工作场所创建或修改了 MT 计划。课程前未进行 MT 的原因如下：患者转介给胸外科医生、培训不足、缺乏资金、科室人手不足以及医院/科室拒绝。总体而言，这些原因在课程结束后显著减少（p = 0.002）。
我们调查的实际数据表明，超过一半的应答者根据他们从课程中获得的技能实施了该技术或修改了他们的实践。
